Combination of hyperhomocysteinemia and ischemic tolerance in experimental model of global ischemia in rats

M Kovalska1, L Kovalska2, B Tothova3

  • 1Institute of Histology and Embryology, Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia.

Insights

Mild-to-moderate hyperhomocysteinemia (hHcy) worsens brain damage from ischemia. However, ischemic preconditioning (IPC) can protect brain tissue, even with hHcy, by modulating MAPK signaling pathways.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Pathology

Background:

  • Mild-to-moderate hyperhomocysteinemia (hHcy) is linked to increased cerebrovascular disease risk.
  • Hyperhomocysteinemia is a known risk factor for brain ischemia.
  • The interplay between hHcy, ischemic preconditioning (IPC), and ischemia-induced neurodegeneration is not fully understood.

Purpose of the Study:

  • To investigate the effects of hHcy alone and in combination with IPC on ischemia-induced neurodegeneration in rat brains.
  • To analyze the impact of hHcy and IPC on MAPK/p-ERK1/2 and MAPK/p-p38 expression following brain ischemia.
  • To elucidate the role of MAPK signaling pathways in the context of hHcy and ischemic brain injury.

Main Methods:

  • Hyperhomocysteinemia (hHcy) was induced in rats via homocysteine administration.
  • Ischemic preconditioning (IPC) was applied, followed by global forebrain ischemia (four-vessel occlusion).
  • Neurodegeneration was assessed using Fluoro-Jade C and TUNEL staining; MAPK signaling was analyzed via Western blot and immunohistochemistry.

Main Results:

  • hHcy alone significantly increased neurodegeneration in the hippocampus and cortex.
  • hHcy altered MAPK signaling, elevating p-ERK and decreasing p-p38 levels post-ischemia.
  • IPC, even in the presence of hHcy, demonstrated a neuroprotective effect against lethal ischemic damage.

Conclusions:

  • IPC can preserve neuronal tissue from severe ischemic injury, even in rats with hyperhomocysteinemia.
  • ERK and p38 MAPK signaling pathways are tightly integrated and play crucial roles in responding to hHcy and brain ischemia/IPC challenges.
  • This study highlights the potential of IPC as a therapeutic strategy for ischemic brain injury, particularly in individuals with elevated homocysteine levels.

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